SHACOYA LATRECE GRADY

PINE BLUFF, AR
NPI1619390911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AR  L52687)
Enumeration Date2014-01-23
Last Update Date2014-01-23
Business Address
-- SHACOYA LATRECE GRADY LPN
3450 W 34TH AVE
PINE BLUFF, AR 71603-5508
Phone number: 870-534-7392
Mailing Address
-- SHACOYA LATRECE GRADY LPN
1202 S NEBRASKA ST
PINE BLUFF, AR 71601-6197
Phone number: 870-592-3641
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